摘要
目的:分析先天性心脏病(先心病)介入封堵治疗未成功原因及防治措施。方法:对206例3种常见先心病施行了介入封堵治疗,其中动脉导管未闭(PDA)封堵64例(PDA组);房间隔缺损(ASD)封堵76例(ASD组);室间隔缺损(VSD)封堵66例(VSD组)。对介入治疗未成功的7例作了回顾分析。结果:未成功率为3.40%(7/206)。其中PDA组为3.13%(2/64),ASD组为2.63%(2/76),VSD组为4.55%(3/66)。未成功原因是:对导管大小判断有误,放置封堵伞有误,输送鞘管引起迷走神经反射。结论:先心病介入封堵术是一种微创、有效的治疗措施,但影响手术成功的因素不容忽视。
Objective： To analyze the unsuccessful causes of interventional therapy for congenital heart diseases （CHD）. Methods： Two hundred and six patients [patents ductus arteriosus （PDA） 64 cases, atrial septal defect （ASD） 76 cases, ventricular septal defect （VSD） 66 cases ] received interventional therapy, and 7 of them were unsuccessful. The unsuccessful causes of interventional therapy were analyzed retrospectively. Results： The unsuccessful rate of interventional therapy was 3.40% （7/206）, in which 3.13% for PDA, 2.63% for ASD, 4. 55% for VSD. The unsuccessful cauges were mistake for judge size of PDA, set occluder, and transport sheathing evoke vagus reflection. Conclusion： Though interventional therapy is a microlesion and efficient therapy for patients with CHD, hut its unsuccessful causes cannot be ignord.
出处
《心血管康复医学杂志》
CAS
2010年第2期178-179,共2页
Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词
心脏缺损
先天性
室间隔缺损
房间隔缺损
Heart defects, congenital
Ventricular septal defect
Atrial septal defect
